CMS 02/12 Insurance Claim Form, 1-Part Continuous White, 9 1/2 x 11, 2500 Forms
Required by Centers for Medicaid and Medicare Services (CMS) and by most private healthcare organizations, these forms speed up claims processing and meet all federal guidelines.
$60.30USD
Retail $133.12
Expedite Medicare, Medicaid or private insurance claims processing.
